SEC Form 4 · accession 0001209191-15-026594
Diversicare Healthcare Services, Inc. · DVCR
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Leslie Campbell
Officer — COO and Executive VP
Period of report
Mar 12, 2015
Accepted (ET)
Mar 16, 2015 · 5:34 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000919956
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Mar 12, 2015 | M | 372 | $0.00 | A | 40,602 | D | |
| Common Stock | Mar 12, 2015 | F | 1,420 | $0.00 | D | 39,182 | D | |
| Common StockF1 | Mar 12, 2015 | M | 114 | $0.00 | A | 39,296 | D | |
| Common Stock | Mar 12, 2015 | F | 1,132 | $0.00 | D | 38,164 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Dividend Equivalent Rights on 2013 Restricted SharesF1,F4 | — | Mar 12, 2015 | M | 372 | D | — | — | Common Stock | 372 | 375 | D |
| Dividend Equivalent Rights on 2014 Restricted SharesF1,F5 | — | Mar 12, 2015 | M | 114 | D | — | — | Common Stock | 114 | 226 | D |
| 2014 Restricted Stock UnitsF6,F7 | — | holding | — | — | — | — | — | Common Stock | 5,432 | 5,432 | D |
| 2015 Restricted Stock UnitsF8,F9 | — | holding | — | — | — | — | — | Common Stock | 8,604 | 8,604 | D |
Explanation of responses
- F1Represents vesting of dividend equivalent.
- F2This transaction represents shares withheld by the Company for tax withholdings on Ms. Campbell's vesting of 2013 Restricted Stock.
- F3This transaction represents shares withheld by the Company for tax withholdings on Ms. Campbell's vesting of 2014 Restricted Stock.
- F4These dividend equivalent rights accrued on shares of restricted stock granted on March 12, 2013 and will vest as the underlying shares vest.
- F5These dividend equivalent rights accrued on restricted stock granted on March 12, 2014 and will vest as the underlying shares vest.
- F6Each restricted stock unit is equal to one share.
- F7The 2014 Restricted Stock Units shall vest and be exercisable in full on the 2nd anniversary of their original Grant Date (3/12/2014).
- F8Ms. Campbell elected to receive $90,000 of her cash bonus for 2014 in Restricted Stock Units under the terms of the Advocat Inc. 2008 Stock Purchase Plan for Key Personnel. Each Restricted Stock Unit is equal to one share.
- F9The 2015 Restricted Stock Units shall vest and be exercisable in full on the 2nd anniversary of their original Grant Date (3/10/2015).